Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Tip 2 Diyabet Hastalarında Damgalama Değerlendirme Ölçeği'nin Türkçe Geçerlik ve Güvenirlik Çalışması
Validity and Reliability Study of the Turkish Version of the Stigma Assessment Scale in Type 2 Diabetes Patients
Ganime CAN GÜRa, Emine YILMAZb
aPamukkale Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Ruh Sağlığı Hastalıkları Hemşireliği ABD, Denizli, TÜRKİYE
bİnönü Üniversitesi, Hemşirelik Fakültesi, Ruh Sağlığı ve Hastalıkları Hemşireliği ABD, Malatya, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(3):667-75
doi: 10.5336/nurses.2020-78878
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, Tip 2 Diyabet Damgalama Değerlendirme Ölçeği'nin (DDDÖ-2) Türkçe versiyonunun geçerlilik ve güvenilirliğini test etmektir. Gereç ve Yöntemler: Çalışmanın evrenini Tip 2 diyabet tanısıyla endokrinoloji ve metabolik hastalıklar kliniğine izleme ve kontrol amacıyla başvuran 125 hasta oluşturdu. Verilerin toplanmasında 'Sosyodemografik Anket' ve 'DDDÖ-2' kullanılmıştır. Ölçeğin, geçerlik-güvenirlik analizinde dil ve içerik geçerliliği, açıklayıcı ve doğrulayıcı faktör analizi, Cronbach alfa katsayısı, madde-toplam puan korelasyonu, yarı yarıya güvenirlik analizi, taban ve tavan etkileri ve test-tekrar test güvenirlik yöntemleri kullanılmıştır. Bulgular: Açımlayıcı faktör analizi kullanılarak, DDDÖ-2'nin 3 faktöre sahip olduğu bulunmuştur. Ölçeğin 3 faktörlü yapısı, doğrulayıcı faktör analizi kullanılarak doğrulanmıştır. Ölçeğin Cronbach alfa değeri 0,902'dir. Ayrıca ölçeğin madde-ölçek toplam korelasyonu ve testtekrar test analizi yüksek korelasyona sahiptir. Sonuç: DDDÖ-2'nin Türkçe versiyonunun güvenilir ve geçerli bir araç olduğu sonucuna varılmıştır.

Anahtar Kelimeler: Geçerlik; güvenirlik; Tip 2 diyabet; damgalama
ABSTRACT
 Objective: The aim of this study was to test the validity and reliability of the Turkish version of the Type 2 Diabetes Stigma Assessment Scale (DSAS-2). Material and Methods: The population of the study consisted of 125 patients who applied in monitoring and controls to Endocrinology and Metabolic diseases clinic with the diagnosis of Type 2 diabetes. 'Social-demographics Questionnaire' and 'DSAS-2' were used for data collection. In the validity-reliability analysis of the scale, language and content validity, explanatory and confirmatory factor analysis, Cronbach's Alpha coefficient, item-total score correlation, split-half reliability analysis, floor and ceiling effects, and test-retest reliability methods were used. Results: Using exploratory factor analysis, it was found that the DSAS-2 has three factors. Its threefactor structure was confirmed using confirmatory factor analysis. The Cronbach's alpha values of scales were 0.902. In addition, item subscale total correlations and test-retest analysis of the scale had a high correlation. Conclusion: It was concluded that the Turkish version of the DSAS-2 is a reliable and valid instrument.

Keywords: Validity; reliability; Type 2 diabetes; stigma
REFERENCES:
  1. TEMD Diabetes Mellitus Çalışma ve Eğitim Grubu. Diabetes Mellitus ve Komplikasyonlarının Tanı, Tedavi ve İzlem Kılavuzu-2017. 9. Baskı. Ankara: Miki Matbaacılık San. ve Tic. Ltd. Şti; 2017. [Link] 
  2. American Diabetes Association. Standards of medical care in diabetes-2014. Diabetes Care. 2014;37(1):14-80. [Crossref] [PubMed] 
  3. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103(2):137-49. [Crossref] [PubMed] 
  4. Abdoli S, Doosti Irani M, Hardy LR, Funnell M. A discussion paper on stigmatizing features of diabetes. Nurs Open. 2018;5(2):113-9. [Crossref] [PubMed] [PMC] 
  5. Gredig D, Bartelsen-Raemy A. Diabetes-related stigma affects the quality of life of people living with diabetes mellitus in Switzerland: implications for healthcare providers. Health Soc Care Community. 2017;25(5):1620-33. [Crossref] [PubMed] 
  6. Schabert J, Browne JL, Mosely K, Speight J. Social stigma in diabetes : a framework to understand a growing problem for an increasing epidemic. Patient. 2013;6(1):1-10. [Crossref] [PubMed] 
  7. Browne JL, Ventura A, Mosely K, Speight J. 'I'm not a druggie, I'm just a diabetic': a qualitative study of stigma from the perspective of adults with type 1 diabetes. BMJ Open. 2014;4:1-10. [Crossref] [PubMed] [PMC] 
  8. Arda Sürücü H, Baran Durmaz G, Turan E. Does Type 1 Diabetic Adolescents' Fear of Stigmatization Predict a Negative Perception Insulin Treatment? Clin Nurs Res. 2020;29(4):235-42. [Crossref] [PubMed] 
  9. Tak-Ying Shiu A, Kwan JJ, Wong RY. Social stigma as a barrier to diabetes self-management: implications for multi-level interventions. J Clin Nurs. 2003;12(1):149-50. [Crossref] [PubMed] 
  10. Polonsky WH, Fisher L, Guzman S, Villa-Caballero L, Edelman SV. Psychological insulin resistance in patients with type 2 diabetes: the scope of the problem. Diabetes Care. 2005;28(10):2543-5. [Crossref] [PubMed] 
  11. Browne JL, Ventura A, Mosely K, Speight J. 'I call it the blame and shame disease': a qualitative study about perceptions of social stigma surrounding type 2 diabetes. BMJ Open. 2013;3:1-10. [Crossref] [PubMed] [PMC] 
  12. International Diabetes Federation (IDF): Global Diabetes Plan 2011-2021. 2011, Belgium: International Diabetes Federation, Accessed 25th June 2020. [Link] 
  13. Teixeira ME, Budd GM. Obesity stigma: a newly recognized barrier to comprehensive and effective type 2 diabetes management. J Am Acad Nurse Pract. 2010;22(10):527-33. [Crossref] [PubMed] 
  14. Kato A, Fujimaki Y, Fujimori S, et al. Psychological and behavioural patterns of stigma among patients with type 2 diabetes: a cross-sectional study. . BMJ Open 2017;7:e013425. [Crossref] [PubMed] [PMC] 
  15. Liu NF, Brown AS, Folias AE, Younge MF, Guzman SJ, Close KL, et al. Stigma in People With Type 1 or Type 2 Diabetes. Clin Diabetes. 2017;35(1):27-34. Erratum in: Clin Diabetes. 2017;35(4):262. [Crossref] [PubMed] [PMC] 
  16. Browne JL, Ventura AD, Mosely K, Speight J. Measuring the stigma surrounding type 2 diabetes: development and validation of the type 2 diabetes stigma assessment scale (dsas-2). Diabetes Care. 2016;39(12):2141-8. Erratum in: Diabetes Care. 2017;40(6):808. [Crossref] [PubMed] 
  17. Aksayan S, Gözüm S. Kültürlerarası ölçek uyarlaması için rehber II: ölçek uyarlama aşamaları ve dil uyarlaması [Intercultural Scale Adaptation Stages, Language and Culture Adaptation: Updated Guideline]. Hemşirelikte Araştırma Dergisi. 2003:3-14. [Link] 
  18. DeVellis RF. Scale Development: Theory and Applications. 4th ed. ABD: SAGE publications; 2016. [Link] 
  19. Johnson RB, Christensen L. Educational Research: Quantitative, Qualitative, and Mixed Approaches. 7th ed. ABD: SAGE Publications, Incorporated; 2019.
  20. Seçer İ. Psikolojik Test Geliştirme Ve Uyarlama Süreci. 1. Baskı. Ankara: Anı Yayınları; 2015. [Link] 
  21. Alpar R. Uygulamalı İstatistik ve Geçerlilik-Güvenilirlik. 6. Baskı. Ankara: Detay Yayıncılık; 2018. [Link] 
  22. Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health. 2006;29(5):489-97. [Crossref] [PubMed] 
  23. World Health Organization. Process of translation and adaptation of instruments. Published online 2016. (Erişim tarihi: 06.06.2020). [Link] 
  24. Grove SK, Burns N, Gray J. The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence. 7th ed. Elsevier Health Sciences; 2012. [Link] 
  25. Karagöz Y. SPSS and AMOS 23 Applied Statistical Analysis. 1. Baskı. Ankara: Nobel Akademik Yayıncılık; 2016. [Link] 
  26. Tavşancıl E. Tutumların Ölçülmesi ve SPSS Ile Veri Analizi. 6. Baskı. Ankara: Nobel Akademik Yayıncılık; 2019. [Link] 
  27. Şencan H. Sosyal ve Davranışsal Ölçümlerde Güvenilirlik ve Geçerlilik. 1. Baskı. Ankara: Seçkin Yayıncılık Sanayi ve Ticaret A. Ş; 2005. [Link] 

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